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Villous adenoma with hyponatremia and syncope: Report of a case

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Diseases of the Colon & Rectum

Summary

A case of villous adenoma of the colon with hyponatremia, hypovolemia, and syncope is presented. The correct diagnosis was delayed because of the prevailing idea that villous adenomas are associated with hypokalemia. The patient recovered fully after surgical removal of one of the largest villous adenomas reported in the literature. Sodium loss may be the dominant feature of this syndrome. Villous adenoma has to be included among the causes of hyponatremia.

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Authors and Affiliations

  1. Department of Surgery, Ottawa Civic Hospital and University of Ottawa, Ottawa, Ontario, Canada

    A. J. Jeanneret-Grosjean M.D., G. N. Tse, M.D., F.R.C.S.(C) &  W. Grant Thompson M.D., F.A.C.P., F.R.C.P.(C)

  2. Department of Medicine, 1 Link, Ottawa Civic Hospital, 1053 Carling Avenue, K1Y 4E9, Ottawa, Ontario, Canada

    A. J. Jeanneret-Grosjean M.D., G. N. Tse, M.D., F.R.C.S.(C) &  W. Grant Thompson M.D., F.A.C.P., F.R.C.P.(C)

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  1. A. J. Jeanneret-Grosjean M.D., G. N. Tse, M.D., F.R.C.S.(C)
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  2. W. Grant Thompson M.D., F.A.C.P., F.R.C.P.(C)
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Jeanneret-Grosjean, A.J., Thompson, W.G. Villous adenoma with hyponatremia and syncope: Report of a case. Dis Colon Rectum 21, 118–119 (1978). https://doi.org/10.1007/BF02586455

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  • DOI: https://doi.org/10.1007/BF02586455

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